Appalachian Psychological and Behavioral Services LLC
Organization Active NPI Psychologist · Clarkesville, GA
NPI 1083345680 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1083345680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- APPALACHIAN PSYCHOLOGICAL AND BEHAVIORAL SERVICES LLC
- Practice address
- 1423 Washington St Ste 212
Clarkesville, GA 30523-5422 - Phone
- (802) 404-2727
- NPI assigned
- Jun 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Whitney Kleinert, PHD
- Title
- Owner, Licensed Psychologist
- Phone
- (802) 404-2727
Practitioners 1
National Provider Directory
Locations
1423 Washington St
Ste 212
Clarkesville, GA 30523
Phone (802) 404-2727
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
1423 Washington St Ste 212
Clarkesville, GA 30523-5422
Mailing address
230 Wild Iris LN
Clarkesville, GA 30523-1814
Phone (802) 404-2727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003264607A | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kleinert@AppalachianPBS.com | Direct |
Other providers in Clarkesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.